CPT 51736
Global XXX ActiveUrine flow measurement
CPT 51736 Billing & Documentation Guide
CPT code 51736 (Urine flow measurement) is classified under Surgery (Urinary/Reproductive) with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.17, a non-facility practice expense RVU of 0.24, and a malpractice RVU of 0.03, a total non-facility RVU of 0.44 and facility RVU of 0.44. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $15.02, though rates vary from $13.08 to $18.4 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 51736, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 51736 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
No global period (E/M and other non-procedural services)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 51736 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 51736
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.17 | 0.17 |
| Practice Expense RVU | 0.24 | 0.24 |
| Malpractice RVU | 0.03 | 0.03 |
| Total RVU | 0.44 | 0.44 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 51736
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $15.91 | $15.91 | $15.1 - $18.4 | 29 |
| Florida | $15.67 | $15.67 | $14.85 - $16.56 | 3 |
| Georgia | $14.53 | $14.53 | $14.02 - $15.04 | 2 |
| Illinois | $15.36 | $15.36 | $14.56 - $16.07 | 4 |
| Michigan | $14.62 | $14.62 | $14.13 - $15.1 | 2 |
| North Carolina | $13.8 | $13.8 | $13.8 - $13.8 | 1 |
| New York | $16.25 | $16.25 | $14 - $17.43 | 5 |
| Ohio | $14.01 | $14.01 | $14.01 - $14.01 | 1 |
| Pennsylvania | $14.65 | $14.65 | $13.98 - $15.32 | 2 |
| Texas | $14.53 | $14.53 | $13.9 - $15.06 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 51736
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 51736 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 00910 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0228T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0230T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0596T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0597T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0709T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0811T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
Frequently Asked Questions, CPT 51736
What does CPT code 51736 mean? +
CPT code 51736 represents: Urine flow measurement. It's in the Surgery (Urinary/Reproductive) category with a global period of XXX.
What is the Medicare reimbursement for CPT 51736? +
The 2026 Medicare national average non-facility payment for CPT 51736 is $15.02. Rates range from $13.08 to $18.4 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 51736? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 51736? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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